Journal of Primary Care and Community Health最新文献

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General Practitioners' Views on Communication About Dietary Supplements During Periodic Health Examinations: A Cross-Sectional Survey in Germany. 全科医生在定期健康检查中对膳食补充剂沟通的看法:德国的一项横断面调查
IF 3
Journal of Primary Care and Community Health Pub Date : 2025-01-01 Epub Date: 2025-05-08 DOI: 10.1177/21501319251333388
Thomas Okon, Sascha Eickmann, Sophia Wagner, Hansjörg Baurecht, Anne Herrmann
{"title":"General Practitioners' Views on Communication About Dietary Supplements During Periodic Health Examinations: A Cross-Sectional Survey in Germany.","authors":"Thomas Okon, Sascha Eickmann, Sophia Wagner, Hansjörg Baurecht, Anne Herrmann","doi":"10.1177/21501319251333388","DOIUrl":"https://doi.org/10.1177/21501319251333388","url":null,"abstract":"<p><strong>Introduction: </strong>The global dietary supplements (DS) market is expanding, numerous adults regularly consume DS. Potential interactions with prescribed medications raise concerns, but communication about DS intake during medical consultations remains limited. This study explores general practitioners' (GPs) perceptions of communication on DS during periodic health examinations (PHEs).</p><p><strong>Methods: </strong>We conducted a cross-sectional online survey among 162 German GPs between May and August 2021. The pseudonymized web-based questionnaire assessed DS-related was carried out to analyze quantitative data.</p><p><strong>Results: </strong>In total, 162 general practitioners (GPs) participated in the survey, aged 50.2 years (±11.1). While 64.8% of GPs considered DS to be an important topic, 38.8% rarely or never (<25% of conducted PHE) addressed DS during PHEs. Personal DS use (Cramers' <i>V</i> = 0.407; <i>P</i> < .001) and considering DS an important topic (Cramers' <i>V</i> = 0.231; <i>P</i> = .016) were associated with more frequent discussions about DS. Time constraints (24.9%), competing priorities (21.4%), and uncertainty about DS (20.5%) were identified to be the main barriers. Suggestions for improving communication included offering more reliable information and including DS in the medication plan.</p><p><strong>Conclusion: </strong>This is the first study addressing communication about DS in Germany. Despite recognizing the relevance of DS, GPs' communication practices remain limited due to time constraints and competing priorities. Integrating DS in the PHE could identify potential interactions with medication, strengthen patient-doctor-relationship, and satisfy patients' needs for individualized counseling. Implementation of standardized DS documentation in medication plans and the provision of evidence-based information resources may improve patient safety and fulfill GPs informational needs.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251333388"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12062601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Barriers and Facilitators to the Implementation of a Health-Related Social Needs Screening and Referral Intervention in the Bronx. 在布朗克斯实施与健康有关的社会需求筛查和转诊干预的障碍和促进因素。
IF 3
Journal of Primary Care and Community Health Pub Date : 2025-01-01 Epub Date: 2025-05-30 DOI: 10.1177/21501319251334210
Priya Elizabeth George, Jessica Haughton, Renee Whiskey, Samantha Levano, Hemen Muleta, Kevin P Fiori
{"title":"Barriers and Facilitators to the Implementation of a Health-Related Social Needs Screening and Referral Intervention in the Bronx.","authors":"Priya Elizabeth George, Jessica Haughton, Renee Whiskey, Samantha Levano, Hemen Muleta, Kevin P Fiori","doi":"10.1177/21501319251334210","DOIUrl":"10.1177/21501319251334210","url":null,"abstract":"<p><strong>Objective: </strong>The Community Health Worker Institute (CHWI) addresses health-related social needs (HRSNs) by integrating Community Health Workers (CHWs) into patient care. This study explores the barriers and facilitators to HRSN referrals and the integration of CHWs within clinical teams.</p><p><strong>Methods: </strong>Qualitative interviews were conducted with CHWs, CHWI program staff, and clinicians from ambulatory care clinics. Semi-structured interviews, guided by the Consolidated Framework for Implementation Research, were audio-recorded, transcribed, and analyzed using rapid qualitative methods.</p><p><strong>Results: </strong>Preliminary findings found that while clinicians support the CHWI and referral program, time constraints during patient visits likely hinder effective screenings and referrals. CHWs are seen as valuable advocates but continue to face challenges due to confusion about their clinical role from patients and clinicians. Hierarchical power dynamics seen between providers and CHWs likely contribute to this confusion. Clinics with strong leadership, clear role delineation, and clinical site preparation appear to have better CHW integration.</p><p><strong>Conclusion: </strong>CHWs play a crucial role in addressing HRSNs, but their integration into clinical teams requires overcoming logistical and educational challenges. These findings offer insights for improving the HRSN referral process and integrating CHWs into healthcare systems.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251334210"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adherence to Repeat Screening Completion for Colorectal Cancer Using the Multi-Target Stool DNA Test: Real-World Analysis of Patients from Federally Qualified Health Centers. 使用多靶点粪便DNA检测完成结肠直肠癌重复筛查的依从性:来自联邦合格医疗中心的患者的真实世界分析
IF 3
Journal of Primary Care and Community Health Pub Date : 2025-01-01 Epub Date: 2025-06-17 DOI: 10.1177/21501319251348099
Mallik Greene, Timo Pew, Jorge Zapatier, Juliana Vanessa Rincón López, Paul Limburg, Martha Duarte
{"title":"Adherence to Repeat Screening Completion for Colorectal Cancer Using the Multi-Target Stool DNA Test: Real-World Analysis of Patients from Federally Qualified Health Centers.","authors":"Mallik Greene, Timo Pew, Jorge Zapatier, Juliana Vanessa Rincón López, Paul Limburg, Martha Duarte","doi":"10.1177/21501319251348099","DOIUrl":"10.1177/21501319251348099","url":null,"abstract":"<p><strong>Introduction/objectives: </strong>This real-world study examined adherence to repeat mt-sDNA among patients from federally qualified health centers (FQHCs) across the US and among different payer types.</p><p><strong>Methods: </strong>Data from Exact Sciences Laboratories, LLC were used for the period between January 1, 2023, and December 31, 2023, for those who had previously completed a mt-sDNA test. Study outcomes included adherence rate to mt-sDNA repeat screening and time to test return.</p><p><strong>Results: </strong>The study sample consisted of 19 536 eligible patients. The mt-sDNA repeat screening adherence rate was 79.7%, and the mean time to return the kit was 21.1 ± 20.8 days. Repeat screening adherence for patients with Medicare was 84.7%, Medicare Advantage was 80%, commercial insurance was 78.2%, managed care organization was 74.6%, and Medicaid was 65.9% (<i>P</i> < .001). Compared with patients covered by commercial insurance, those covered by Medicaid had 42% lower odds of adhering to mt-sDNA repeat screening. Patients with 2 or more prior successful tests had a numerically shorter mean time to test return compared to those with only 1 prior successful test.</p><p><strong>Conclusions: </strong>While repeat screening adherence was generally high across patient demographic categories, there were significant differences by type of insurance coverage and number of prior successful mt-sDNA screenings.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251348099"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining the Preliminary Effectiveness on Knowledge of a Tobacco Cessation Facilitator Training for Community Health Workers. 对社区卫生工作者戒烟促进者知识培训的初步效果进行检验。
IF 3
Journal of Primary Care and Community Health Pub Date : 2025-01-01 Epub Date: 2025-05-25 DOI: 10.1177/21501319251341977
Tianqu Lu, Anna Veluz-Wilkins, Andres Mauricio Garcia Sierra, Dedeepya Konuthula, Marcia Tan
{"title":"Examining the Preliminary Effectiveness on Knowledge of a Tobacco Cessation Facilitator Training for Community Health Workers.","authors":"Tianqu Lu, Anna Veluz-Wilkins, Andres Mauricio Garcia Sierra, Dedeepya Konuthula, Marcia Tan","doi":"10.1177/21501319251341977","DOIUrl":"10.1177/21501319251341977","url":null,"abstract":"<p><strong>Introduction: </strong>Disparities in access to tobacco cessation support and resources remain significant issues among community members with low socioeconomic status (SES). Community health workers (CHWs) can connect with community members and have flexibility in delivering treatments to underserved populations. The Community Health Allies Nicotine Guidance Education (C.H.A.N.G.E.) project, designed for CHWs, aimed to address the disparities by implementing a tailored tobacco cessation training program. The current study examined the C.H.A.N.G.E. program's preliminary effectiveness on CHW knowledge gain.</p><p><strong>Methods: </strong>Data were collected from CHWs in Chicago, IL who participated in the training program between October 2022 and December 2023, and CHWs completed a tobacco cessation knowledge questionnaire pre-training, post-training, and at 1- and 6-month follow-up. A paired samples <i>t</i>-test was conducted to assess changes in CHWs' pre-post knowledge change. Descriptive analyses were also explored to examine the type of knowledge that was retained and whether that differed by the client population that CHWs served.</p><p><strong>Results: </strong>CHWs (N = 72) were mostly women (68%) who worked in their current role for an average of 2.34 years (SD = 1.54). The mean age of participants in the study was 38.06 years (SD = 13.09). Baseline knowledge was low (<i>M</i> = 3.75 [1.18] out of 10) but significantly increased post-training (<i>M</i> = 6.64 [1.13]; <i>P</i> < .001). There was no difference in change of tobacco cessation knowledge scores for groups based on client population served.</p><p><strong>Conclusion: </strong>The C.H.A.N.G.E. training effectively improved CHWs' tobacco cessation knowledge. However, knowledge changes had no differences based on client types of CHWs. This study highlighted the importance of continuous adaptation and evaluation of training programs to fit the needs of CHWs and their clients in underserved, community-based settings.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251341977"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12104599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining Differences in Utilization of the Ontario eConsult Service in Rural Versus Urban Settings: A Retrospective Cross-Sectional Analysis. 检查安大略省农村与城市环境中咨询服务利用的差异:回顾性横断面分析。
IF 3
Journal of Primary Care and Community Health Pub Date : 2025-01-01 Epub Date: 2025-07-16 DOI: 10.1177/21501319251354830
Clare Liddy, Sheena Guglani, Nikhat Nawar, Erin Keely
{"title":"Examining Differences in Utilization of the Ontario eConsult Service in Rural Versus Urban Settings: A Retrospective Cross-Sectional Analysis.","authors":"Clare Liddy, Sheena Guglani, Nikhat Nawar, Erin Keely","doi":"10.1177/21501319251354830","DOIUrl":"10.1177/21501319251354830","url":null,"abstract":"<p><strong>Introduction: </strong>We conducted a retrospective, cross-sectional analysis exploring patterns of usage and outcomes from urban vs. rural eConsults to examine eConsult's impact on equity of access in rural Ontario, Canada. Patients living in rural regions face many barriers in accessing specialist care. The Ontario eConsult Service connects primary care providers (PCP) with specialists regardless of geographical location, improving equity of access.</p><p><strong>Methods: </strong>We included all Ontario eConsult cases submitted between January 1 and December 31, 2021. Usage data collected automatically by the service and responses to a mandatory closeout survey were analyzed using descriptive statistics. Cases were identified as rural using the forward sorting area of the PCP's primary practice.</p><p><strong>Results: </strong>Of the 72,948 cases submitted during the study period, 7550 were coded rural. Usage among rural PCPs was most frequent in Ontario Health North East (1.78 eConsult cases/1000 residents) and Ontario Health North West (1.64). Rural and urban eConsult cases had the same top 5 most frequently requested specialties. Both groups had median response times of 1.0 days, reported time billed of 15 min, and cost per case of $50.</p><p><strong>Conclusions: </strong>PCPs in rural and urban regions use eConsult with equal frequency and had similar usage patterns and outcomes.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251354830"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12268131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating Patient Experience with Integrated Virtual Care (IVC), a Hybrid Primary Care Model in Rural Ontario, Canada: A Cross-Sectional Survey. 评估综合虚拟护理(IVC)患者的经验,在农村安大略省混合初级保健模式,加拿大:横断面调查。
IF 3
Journal of Primary Care and Community Health Pub Date : 2025-01-01 Epub Date: 2025-06-29 DOI: 10.1177/21501319251345741
Samantha Buchanan, Shawna Cronin, Antoine St-Amant, Jonathan Fitzsimon
{"title":"Evaluating Patient Experience with Integrated Virtual Care (IVC), a Hybrid Primary Care Model in Rural Ontario, Canada: A Cross-Sectional Survey.","authors":"Samantha Buchanan, Shawna Cronin, Antoine St-Amant, Jonathan Fitzsimon","doi":"10.1177/21501319251345741","DOIUrl":"10.1177/21501319251345741","url":null,"abstract":"<p><strong>Introduction: </strong>Canada faces a primary care crisis, especially in rural regions. In Ontario, the innovative, Integrated Virtual Care (IVC) program is a hybrid care model that enrolls patients with a family physician working predominantly remotely, while also embedded in a local Family Health Team, blending virtual and in-person care.</p><p><strong>Objective: </strong>To evaluate the experience of patients enrolled in IVC.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey in a rural region in eastern Ontario, Canada. Participants included individuals enrolled in IVC for a minimum of 6 months. Primary outcome measures focused on patient experience with IVC, including satisfaction, access, self-reported health, and healthcare utilization. We also examined representativeness of survey respondents.</p><p><strong>Results: </strong>198 of 790 patients responded (response rate of 25.1%). Overall satisfaction was high, with 85% reporting being very satisfied or satisfied with IVC. Experiencing issues with virtual care was significantly associated with satisfaction. Survey respondents were generally older, Caucasian, and higher users of the healthcare system compared to a group of all those eligible to complete the survey.</p><p><strong>Conclusion: </strong>This study indicates high patient satisfaction with IVC among survey respondents. These insights can inform the expansion of innovative hybrid care models to meet the needs of underserved, rural populations.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251345741"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determinants of Foot Care Adherence Among High-Risk Diabetic Populations: Insights From an Ethnic Minority Community Study in Southwest China. 糖尿病高危人群足部护理依从性的决定因素:来自中国西南少数民族社区研究的见解
IF 3
Journal of Primary Care and Community Health Pub Date : 2025-01-01 Epub Date: 2025-07-09 DOI: 10.1177/21501319251347877
Wangqiao Zhu, Xinling Ma, Yali Gu, Jia Liu, Sulan Long, Meijiao Lu, Guirong Luo, Feilin Tang, Jianshuo Li, Chunxuan Wei
{"title":"Determinants of Foot Care Adherence Among High-Risk Diabetic Populations: Insights From an Ethnic Minority Community Study in Southwest China.","authors":"Wangqiao Zhu, Xinling Ma, Yali Gu, Jia Liu, Sulan Long, Meijiao Lu, Guirong Luo, Feilin Tang, Jianshuo Li, Chunxuan Wei","doi":"10.1177/21501319251347877","DOIUrl":"10.1177/21501319251347877","url":null,"abstract":"<p><strong>Background: </strong>Effective foot care is crucial for preventing diabetic foot ulcers (DFU). While previous studies have identified general determinants of foot care adherence, the unique challenges faced by ethnic minority communities in rural settings remain underexplored. This qualitative study aimed to explore determinants of foot care among individuals at high risk of DFU in an ethnic minority community in Southwest China.</p><p><strong>Methods: </strong>Twenty participants from 4 local communities were recruited, and data were collected through semi-structured interviews. Data from the interviews were analyzed using a thematic analysis approach.</p><p><strong>Results: </strong>Thematic analysis revealed 3 key themes: prioritization of personal health needs, historical cultural perception, and interaction within working and family contexts. Notably, misconceptions regarding the correlation between blood circulation and foot odor have diminished the perceived importance of foot care, while misunderstandings about food and nutrition indirectly impacted it. Foot hygiene practices are performed less consistently compared to handwashing in daily life.</p><p><strong>Conclusions: </strong>This study provides novel insights into the specific determinants of foot care adherence among high-risk diabetic populations in a rural, ethnic minority setting. The findings emphasize the need for culturally tailored interventions that address misconceptions, language barriers, and social dynamics to improve foot care practices and reduce the risk of DFU.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251347877"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Closing Gaps in Chronic Kidney Disease Detection: Evaluating At-Home Targeted Testing in a Safety-Net Population. 缩小慢性肾脏疾病检测的差距:在安全网人群中评估家庭靶向检测。
IF 2.5
Journal of Primary Care and Community Health Pub Date : 2025-01-01 Epub Date: 2025-07-28 DOI: 10.1177/21501319251358923
Megan Schultz, Katelyn Laue, Nicole Bryer, Andrew Bzowyckyj, Anuja Java, Leslie Lake, Elizabeth Talbot-Montgomery, Brit Sovic, Bri'Anna Watson, Joseph A Vassalotti
{"title":"Closing Gaps in Chronic Kidney Disease Detection: Evaluating At-Home Targeted Testing in a Safety-Net Population.","authors":"Megan Schultz, Katelyn Laue, Nicole Bryer, Andrew Bzowyckyj, Anuja Java, Leslie Lake, Elizabeth Talbot-Montgomery, Brit Sovic, Bri'Anna Watson, Joseph A Vassalotti","doi":"10.1177/21501319251358923","DOIUrl":"10.1177/21501319251358923","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic Kidney Disease (CKD) affects 1 in 7 adults in the United States, yet 90% of those impacted remain unaware of their condition, and fewer than 20% of at-risk individuals are appropriately tested. Safety-net health care settings are disproportionately burdened by CKD, with a patient population enriched for CKD risk factors, social deprivation, and barriers to diagnostic testing which delay access to diagnosis and lifesaving interventions. The National Kidney Foundation partnered with a Federally Qualified Health Center (FQHC) to evaluate an approach to increase guideline-recommended testing among patients at high-risk for developing CKD.</p><p><strong>Methods: </strong>Through electronic health record (EHR) data analysis, eligible patients were identified to receive an at-home, semi-quantitative urine albumin-creatine ratio (uACR) testing kit. The kits provided immediate results via a smartphone application, as well as automatically routed to the clinic EHR for the patient's provider to coordinate necessary follow-up care. This initiative was conducted in Missouri, USA in 2023 and evaluated using domains of the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework.</p><p><strong>Results: </strong>Results reflect that 1496 of 4677 (32%) eligible patients completed uACR testing with 50% receiving abnormal results indicative of albuminuria. Of those with evidence of albuminuria, 84% had follow-up visits and 32% completed appropriate follow-up testing based on clinical guidelines. Albuminuria was prevalent across all age groups, with 69% of abnormal results appearing in patients under 60 years. Consistent with national data, patients identifying as Black were significantly more likely to have albuminuria in this cohort (<i>P</i> < .0001). Notably, most patients with albuminuria had an eGFR ≥60 mL/min/1.73 m<sup>2</sup>.</p><p><strong>Conclusions: </strong>Findings highlight the urgency of improving uACR testing for early CKD diagnosis, especially in safety-net settings. The findings also demonstrate the utility of at-home testing to improve access to care across underserved communities and represent a replicable, efficient model to identify those with high risk of CKD progression. While the program required significant time and coordination, this can be streamlined for analogous programs. Future opportunities exist to further the impacts including additional quality improvement activities to ensure follow-up testing and close gaps in CKD care.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251358923"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of Psychosis and Schizophrenia by Primary Care GPs: A Cross-Sectional Study in Spain. 初级保健全科医生对精神病和精神分裂症的管理:西班牙的一项横断面研究。
IF 2.5
Journal of Primary Care and Community Health Pub Date : 2025-01-01 DOI: 10.1177/21501319241306177
Jesús Sepúlveda-Muñoz, Casta Quemada González, María M Hurtado Lara, Ángel Manuel Gutiérrez García, Celia Martí-García, José María García-Herrera Pérez-Bryan, José Miguel Morales-Asencio
{"title":"Management of Psychosis and Schizophrenia by Primary Care GPs: A Cross-Sectional Study in Spain.","authors":"Jesús Sepúlveda-Muñoz, Casta Quemada González, María M Hurtado Lara, Ángel Manuel Gutiérrez García, Celia Martí-García, José María García-Herrera Pérez-Bryan, José Miguel Morales-Asencio","doi":"10.1177/21501319241306177","DOIUrl":"10.1177/21501319241306177","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the detection and initial management of first psychotic episodes, as well as established schizophrenia, within the primary care of the Andalusian Health System.</p><p><strong>Background: </strong>Delay in detecting and treating psychosis is associated with slower recovery, higher relapse risk, and poorer long-term outcomes. Often, psychotic episodes go unnoticed for years before a diagnosis is established. Primary care physicians are crucial for early recognition of psychosis and schizophrenia, especially in Spain, where primary care is the main entry point to healthcare services.</p><p><strong>Methods: </strong>Cross-sectional exploratory study. All active primary care physicians in the Malaga Guadalhorce Health District were invited to participate. Due to the COVID-19 pandemic, the survey was conducted online. The survey, adapted and validated for the local context, included 22 items and 5 sociodemographic questions covering early detection, treatment options, physical health monitoring, and management challenges. Descriptive and bivariate analyses summarized the data and explored correlations between key variables.</p><p><strong>Findings: </strong>The study included 142 primary care physicians (response rate 35.5%), with 28.9% men and 71.1% women, primarily from urban areas (83.1%). Most had completed residency training (86.6%), with 79.6% receiving psychiatric training. However, only 5.6% had participated in training sessions in the last 5 years, with all such sessions lasting less than 30 h. Physicians typically managed 0-10 patients with diagnosed schizophrenia and saw these patients 2 to 3 times annually. They often felt capable of managing these patients, especially with mental health consultancy support. Physical health monitoring was common, though some relied on mental health services to do this. Collaboration with mental health services was moderate, with high utility perceived for having a list of patients with severe mental disorders in their care panel.</p><p><strong>Conclusions: </strong>Family physicians are generally confident in managing psychosis and schizophrenia but lack recent specialized training. Mental health consultancy services are valued, but collaboration with these services needs improvement. Clear guidelines and enhanced training are essential to ensure comprehensive care, addressing both mental and physical health needs of these patients.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319241306177"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advocating Submission of Case Reports in Family Medicine: An Analysis of Case Report Submissions in Journals Related to Family Medicine. 提倡家庭医学病例报告的提交——对家庭医学相关期刊病例报告提交情况的分析。
IF 2.5
Journal of Primary Care and Community Health Pub Date : 2025-01-01 DOI: 10.1177/21501319251320171
Apichai Wattanapisit, Kosin Sirirak, Sanhapan Wattanapisit, Chirk Jenn Ng, Chin Hai Teo, Nutchar Wiwatkunupakarn, Piyachon Aramrat, Chaisiri Angkurawaranon
{"title":"Advocating Submission of Case Reports in Family Medicine: An Analysis of Case Report Submissions in Journals Related to Family Medicine.","authors":"Apichai Wattanapisit, Kosin Sirirak, Sanhapan Wattanapisit, Chirk Jenn Ng, Chin Hai Teo, Nutchar Wiwatkunupakarn, Piyachon Aramrat, Chaisiri Angkurawaranon","doi":"10.1177/21501319251320171","DOIUrl":"10.1177/21501319251320171","url":null,"abstract":"<p><strong>Introduction: </strong>Family medicine embraces a wide range of principles. Identifying appropriate journals for publishing family medicine case reports can be challenging for authors. This study aims to identify journals related to family medicine that publish case reports and summarize the requirements of case report submissions.</p><p><strong>Methods: </strong>Journals related to family medicine were identified from the subject categories: \"family practice\" in Scopus and \"primary health care\" in Web of Science. The author's instructions on the journal websites regarding the criteria for case report submissions were reviewed, and the specific requirements for case reports of each journal were recorded. Journals were excluded if family medicine was not the main aim and scope.</p><p><strong>Results: </strong>Among the 80 journals focused on family medicine, 30 (37.5%) were found to accept submissions of case reports. These reports were classified into various article types, such as case reports, patient studies, clinical case studies. The length of the main text varied between 400 and 3000 words, and some journals did not mandate an abstract. However, for those that did, abstracts typically ranged from 50 to 300 words. The number of references cited ranged from 5 to 30.</p><p><strong>Conclusions: </strong>Less than half of the journals in the family medicine field accept case report submissions. It is advisable for authors to choose their target journal early in the preparation process, as each journal typically provides specific submission guidelines and instructions.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"16 ","pages":"21501319251320171"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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